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Journal of Nursing ›› 2020, Vol. 27 ›› Issue (12): 23-27.doi: 10.16460/j.issn1008-9969.2020.12.023

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Best Evidence Summary for Assessment of Sexuality and Intimacy Relationship for Patients with Terminal Stage

LIU Xiao-cheng1, YING Wen-juan2, LIU Zhi-li2, ZHENG Rui-hua2, XU Nuo1, LIU Hui1   

  1. 1. Medical College, Shantou University, Shantou 515000, China;
    2. The First Affiliated Hospital, Medical College,Shantou University, Shantou 515000, China
  • Received:2019-12-08 Online:2020-06-25 Published:2020-07-08

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Abstract: Objective To summarize the best evidence of assessing sexual and intimate relationship for patients at the terminal stage of life and to provide reference for health care professionals. Methods We searched BMJ Best Practice, Cochrane Library, OVID, SUM Search, Turning Research Into Practice Database (TRIP Database), National Guideline Clearinghouse(NGC), National Institute for Health and Care Excellence(NICE), PubMed, Web of Science, Embase, Proquest, Medlive, CNKI, Wanfang Database, CBMdisc and VIP Journals of Chinese Science for evidence pertaining to assessment of sexual and intimate relationship for patients at the terminal stage of life. Two researchers independently assessed the quality of the literature and extracted data. Results Eight articles were enrolled, including 2 qualitative studies and 6 systematic reviews. A total of 30 pieces of evidence were extracted and integrated into 5 dimensions with 23 pieces of best evidence, including the importance, content, obstacle factors of evaluation, precautions and the strategies of improving sexuality and intimate relationship. Conclusion Health care professionals should pay attention to the assessment of sexual and intimate relationships in patients at the end of life. It is important to clarify assessment content, overcome the obstacles to the assessment, and provide more training of sexual and intimate relationship assessment. According to the implicit and introverted culture of China, health care professionals should make targeted evidence choice on the premise of respecting patients' willingness and privacy.

Key words: end of life, sexuality, intimate relationship, best evidence, evidence-based nursing

CLC Number: 

  • R473
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